NPI | 1386436871 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 127766) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL07305100) |
Enumeration Date | 2025-05-20 |
Last Update Date | 2025-07-03 |